Buyer Information

Payment Information

Bill MeCharge Credit Card On FileCharge New Credit CardPurchasing through an authorized distributor

Payment Information

PO Number

Reference Number

Promotion Code

Once your order is placed you'll be redirected to our credit application form.

Once your new customer form is complete, you will be redirected to our credit application form.

Card Holder Name

CC Last 4 Digits

Once your order has been placed, a Customer Service representative will contact you to collect your credit card information, or you may call 1-800-422-6423 or 1-207-288-5845, or submit your credit card information via secure fax at 1-207-288-6980.

You will be contacted by our authorized distributor to discuss payment and delivery terms.

Billing Information

Once your order is placed you'll be redirected to our credit application form.

Accounts Payable Name

Accounts Payable Phone Number

Accounts Payable Email

End User Shipping Information

Shipping address is the same as billing address

Country

Organization Name

Organization Website

Street Address

City

State

Province

Postal Code

Delivery Contact Information

Full Name

Phone Number

Receiving Hours of Operation

Product Use Information

Which statement best describes the products or services you plan to purchase

I want to receive live mice and/or cryopreserved embryo/sperm

I want to receive data or biospecimens (i.e. blood, tissues)

All of the above

Mice are being shipped to an organization other than the billing organization on this account

Receiving organization is also required to complete a new customer
application if not currently an active customer account with The Jackson Laboratory.

Receiving Organization

Country

Organization Name

Street Address

City

State

Province

Postal Code

Delivery Contact Information

Full Name

Phone Number

Receiving Hours of Operation

Live Mice

The following information is required to ensure that JAX® Mice are shipped to and used by
organizations which have the appropriate staff and housing to care for these animals

Does the customer’s organization hold an OLAW assurance?

Assurance Number

Is the customer’s facility accredited by AAALAC International

Accreditation Number

Do you have an attending Veterinarian for this facility?

Minimum requirement for receiving Live Mice is to have a veterinarian contracted by the institution. The veterinarian must have experience with laboratory mice, must visit the facility a minimum of twice yearly, must be available for veterinary emergencies, must hold a state veterinary license or has credentials consistent with graduation from a veterinary university/college. Husbandry of mice must be performed by trained animal care staff and the mice must receive daily welfare checks.

Attending Veterinarian’s Name

State Veterinary License Number or Qualifying Credentials including Degree and Institution

Does a Veterinarian visit the facility on a regular basis?

How Frequently?

Is a veterinarian available outside of normal business hours for veterinary emergencies?

Do you have an Institutional Animal Care and Use Committee?

Are the mice cared for by staff trained in mouse husbandry?

Do the mice receive a daily welfare check?

Do you follow the 2013 AVMA Euthanasia Guidelines or International equivalent?

Does the facility have a written animal care plan?

Will you be providing any type of service to another organization?

Excluded Agents

Please include below any special health requirements, including any organisms
excluded in your facility.

Mouse Norovirus (MNV)

Pseudomonas spp

Heliobacter ssp

Proteus mirabilis

Klebsiella pnemoniae

Staphylococcus aureus

Klebsiella ssp

Staphylococcus ssp

Pasteurella pneumotropica

Nonpathogenic protozoa (e.g., trichomonads)

Pneumocystis murina

Oportunistic protozoa (e.g., Giardia, Sipronucleus)

Segmented Filamentous Bacteria (SFB)

Other

JAX® Mice, Products & Services Conditions of Use

“MICE” means mouse strains, their progeny derived by inbreeding or crossbreeding, unmodified derivatives from mouse strains or
their progeny supplied by The Jackson Laboratory (“JACKSON”). “PRODUCT(S)” means biological materials supplied by JACKSON,
and their derivatives. “SERVICES” means projects conducted by JACKSON for other parties that may include but are not limited
to the use of MICE or PRODUCTS. “RECIPIENT” means each recipient of MICE, PRODUCTS, or SERVICES provided by JACKSON
including each institution, its employees and other researchers under its control. MICE or PRODUCTS shall not be: (i) used for any
purpose other than the internal research, (ii) sold or otherwise provided to any third party for any use, or (iii) provided to any agent
or other third party to provide breeding or other services. Acceptance of MICE, PRODUCTS or SERVICES from JACKSON shall be
deemed as agreement by RECIPIENT to these conditions, and departure from these conditions requires JACKSON’s prior written
authorization.

No Warranty

MICE, PRODUCTS AND SERVICES ARE PROVIDED “AS IS”. JACKSON EXTENDS NO WARRANTIES OF ANY KIND, EITHER EXPRESS,
IMPLIED, OR STATUTORY, WITH RESPECT TO MICE, PRODUCTS OR SERVICES, INCLUDING ANY IMPLIED WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OR ANY WARRANTY OF NON-INFRINGEMENT OF ANY PATENT,
TRADEMARK, OR OTHER INTELLECTUAL PROPERTY RIGHTS.
In case of dissatisfaction for a valid reason and claimed in writing by a purchaser within ninety (90) days of receipt of MICE,
PRODUCTS or SERVICES, JACKSON will, at its option, provide credit or replacement for the MICE or PRODUCT received or the
SERVICES provided; JACKSON makes no other representations and this shall be the exclusive remedy of the purchaser.

Please note specific policy for live mice:

Important Note: This credit policy applies only to shipments of JAX® Mice for which transportation of the mice from The
Jackson Laboratory to the customer’s specified delivery site has been arranged solely by The Jackson Laborator
Credit will be issued for mice received at your facility which are deceased or moribund or for those that die or become ill
within three days after arrival. Credit requests must be received within five days after the delivery date of the order by email
or by telephone followed by a written notification of the problem (see Customer Service contact information) — within five
days after the delivery date of the order. We issue credit for mice received in damaged containers if damage is noted on the
delivery manifest.
Credit is not provided for the following circumstances:

Shipment of timed pregnant females at one to ten days post-mating that are not pregnant or do not produce a viable litter.

Non-productive mice.

Retired breeders are recently retired from active breeding colonies. We do not guarantee that females will NOT be pregnant
when they are shipped.

Visibly Pregnant Females (untimed visibly pregnant females 15 or less days from last mating).

No Liability

In no event shall JACKSON, its trustees, directors, officers, employees, and affiliates be liable for any causes of action or damages,
including any direct, indirect, special, or consequential damages, arising out of the provision of MICE, PRODUCTS, or SERVICES,
including economic damage or injury to property and lost profits, and including any damage arising from acts or negligence on the
part of JACKSON, its agents or employees. Unless prohibited by law, in purchasing or receiving MICE, PRODUCTS, or SERVICES from
JACKSON, purchaser or recipient, or any party claiming by or through them, expressly releases and discharges JACKSON from all
such causes of action or damages, and further agrees to defend and indemnify JACKSON from any costs or damages arising out of
any third party claims
MICE, PRODUCTS or SERVICES are to be used in a safe manner and in accordance with all applicable governmental rules and
regulations.
The foregoing represents the General Terms and Conditions applicable to JACKSON’s MICE, PRODUCTS or SERVICES. In addition,
special terms and conditions of sale of certain MICE, PRODUCTS, or SERVICES may be set forth separately in JACKSON web pages,
catalogs, price lists, contracts, and/or other documents, and these special terms and conditions shall also govern the sale of these
MICE, PRODUCTS and SERVICES by JACKSON, and by its licensees and distributors.
Acceptance of delivery of MICE, PRODUCTS or SERVICES shall be deemed agreement to these terms and conditions. No purchase
order or other document transmitted by purchaser or recipient that may modify the terms and conditions hereof, shall be in any way
binding on JACKSON, and instead the terms and conditions set forth herein, including any special terms and conditions set forth
separately, shall govern the sale of MICE, PRODUCTS or SERVICES by JACKSON.

I agree to the above “JAX® Mice, Products and Services Conditions of Use”